Long, Chrystina
Long, Chrystina is an individual health care provider with primary practice located at 540 E Foothill Blvd Ste 101 , San Dimas CA 91773-1251. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Long, Chrystina can be contacted via phone (626) 779-8583.Contact Information
Primary practice address
540 E Foothill Blvd Ste 101
San Dimas CA 91773-1251
Phone: (626) 779-8583
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | California | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | California |
Profile Details
| NPI number | 1972353290 |
|---|---|
| LBN Legal business name | Long, Chrystina |
| Credentials | PPS, APCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2024 |
| Last updated | Mar 27th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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